Active NPI
Kimberly Lynn Kollmeyer, MFTI
- Marriage & Family Therapist
- Antioch, CA
National Provider Identifier
1831243617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- IMF41683
- Practice address
- 509 W 10TH St
Antioch, CA 94509-1653 - Phone
- (925) 757-9540
- NPI assigned
- Jan 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF41683 | CA | Primary |
Addresses
Primary practice location
509 W 10TH St
Antioch, CA 94509-1653
Mailing address
890 Scenic
Canyon, CA 94516-0051
Phone (925) 377-0167
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF41683 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831243617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "890 SCENIC",
"city": "CANYON",
"state": "CA",
"postal_code": "945160051",
"telephone_number": "925-377-0167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 W 10TH ST",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945091653",
"telephone_number": "925-757-9540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLLMEYER",
"first_name": "KIMBERLY",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "MFTI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF41683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Antioch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.